Impact of race and ethnicity on outcomes and health care utilization after allogeneic hematopoietic cell transplantation

Nandita D Khera, Yu Hui Chang, James L Slack, Veena Fauble, Jose F. Leis, Pierre Noel, Lisa Sproat, Jeanne Palmer, Roberta Adams, Tom Fitch, Donald W Northfelt, Mignonne Guy, Jon C Tilburt, Joseph R Mikhael

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Abstract Disparities in outcomes after hematopoietic cell transplant (HCT) are reported mostly by registry studies. We examined the association of self-reported race and ethnicity with outcomes and health care utilization after allogeneic HCT in a single center study. Clinical and socioeconomic data of 296 adult patients who underwent allogeneic HCT from November 2003 to October 2012 were analyzed. Survival was compared between non-Hispanic Whites (NHW) and minority patients using Cox proportional hazards regression. Some 73% of patients were NHW and 27% were racial/ethnic minority patients. More minority patients were younger and had lower socioeconomic status. Both unadjusted and adjusted overall and progression-free survival were comparable between the two groups. High risk disease, poor performance score and Medicare/Tricare were significant predictors of mortality. Health care utilization was comparable between the two groups. Homogeneity of medical care for allogeneic HCT may help overcome racial/ethnic disparities, but not those due to patients' primary insurance.

Original languageEnglish (US)
Pages (from-to)987-992
Number of pages6
JournalLeukemia and Lymphoma
Volume56
Issue number4
DOIs
StatePublished - Apr 1 2015

Keywords

  • Disparities
  • Health care utilization
  • Hematopoietic cell transplant
  • Race/ethnicity

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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